Your Name:
E-Mail:
Phone Number:
Address:
City, State, Zip:
High School:
GPA:
Grading Scale: 4pt. 5pt.
Varsity Athletics:
Athletic Awards:
School/Comm. Activities:
School/Comm. Awards:
Rush Semester: Spring Fall
Legacy? Yes No
Decided on UM Yes No
Decided on Greek? Yes No
Is this a recommendation? Yes No
If so, from who?
Comments: